Individual
BRUCE W SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 426-9545
(812) 858-4512
Mailing address
PO BOX 3868, EVANSVILLE, IN 47737-3868
(812) 426-9545
(812) 858-4512
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01040323A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000297995
ANTHEM
IN
05
—
100197120
—
IN
01
—
64874068
KY MEDICAID
KY
Enumeration date
12/01/2006
Last updated
01/09/2013
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